Healthcare Provider Details

I. General information

NPI: 1730354283
Provider Name (Legal Business Name): THERAPEUTIC REHAB SPECIALISTS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2008
Last Update Date: 04/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6231 66TH ST
PINELLAS PARK FL
33781-5025
US

IV. Provider business mailing address

16112 6TH ST E
REDINGTON BEACH FL
33708-1618
US

V. Phone/Fax

Practice location:
  • Phone: 727-544-3330
  • Fax:
Mailing address:
  • Phone: 727-409-8889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateFL

VIII. Authorized Official

Name: BRADLEY YOUNG
Title or Position: VICE PRESIDENT/OWNER
Credential: P.T.
Phone: 727-409-8889